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OF EVERETT � DATE: /oZ��So <br />CTRICAL WIRING PERMIT APPLICATION '. �-: g�' �0 v <br />�oa aeoaEss �/ o(c� `�' C' � vor�7f" � Y?ta_ �� <br />ruaNr <br />PRGF�tTY OWNEi /-IQY►ti Ok � �Sr,nCiu?'o — <br />�EC?RT_CAL C�NTrZACTOR /V Q is� f�� t�Y C <br />LT_C��SE N0. �i�� SOF� /a', �_ E%�P�ATIGN DAic <br />ACMINISiRATC� .( U/,� lVP(5n,.� PHONE N0. �i�"�t"✓2� <br />�' <br />VALUE OF WGRK 3 8yo (do not include taxes) <br />(for comme:cial worx! <br />USc OF 6UILOING O� �rt,ie — <br />NOTE: WAC 296-46-140 requires <br />institutional or health <br />Washington. Apolicants <br />before a City of Everett <br />that plans for electric�l work at edu�ational, <br />care facilities be approved by the State or <br />with such jobs must show the State-=pproved plans <br />pennit will be issued. <br />\ <br />WOftK TO BE DONE: <br />iJ�hStp// �.i�h4nt /�VVJrn✓ohw++�—L�,Fcs..is �Xiwh<k��.P <br />d YDm �X� �T �� I`�lt hPls CZ 1�0v2.� Cx � Yfl •�Oth�.t <br />SIGNED : �y1C� 11(JGy� DAIE �a�5��� <br />NOTES RND COMMENTS: <br />6/10/87 <br />192EH <br />1,5°A cv.�BNo <br />i <br />�,�: -�� ;�-,. <br />�, <br />